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Residency in Anesthesiology, Obstetrics, Indian

I like to think of myself as India’s hardest working Anesthesiologist in my current position with XXXX Hospital in Rajm, Srikakulam, India. I am very proud of the great strides that have been made in my country in the area of anesthesia over the last few decades, considering that India did not even have its first ICU unit until 1963. Now there are ICUs in every town and in all major hospitals. Anaesthesiologists now also play increasingly important roles.

 I am sure that with my extensive experience and extremely high energy level, always maintaining a constantly sharp and dedicated focus, I have much to offer to your equally high-energy residency program. I have learned a great deal through my extensive hands-on experience in perioperative care, intensive care, pain, and palliative care, and trauma as well as emergency medical care. Last week I was called into our emergency room for the intubation one of a patient with chronic lung problems. His saturations were not maintained; I tried vocal cords, but nothing visible; it was not until the third attempt that I met with success, something extremely unusual; yet the lift that success brought was one of the sweetest moments in my life. Nothing comes close for me to the shared joy that I experience in life; the sum total of my personal, as well as professional dignity, is measured by the technical perfection of each intubation.

 Becoming the very most delicate anesthesiologist possible has been my central goal in life since early on in medical school, since I enjoy the technical aspects and challenges associated with our discipline as well as the profound humanity involved in taking away the pain of the patient who undergoes surgery. I now feel strongly that I have learned the essential basics of practicing anesthesiology to have an excellent foundation upon which to be of great service to your distinguished institution in every way that I can, as my first and only priority. I need to practice anesthesiology in the West to become the best that I can be, to understand the international aspects of medicine better, and to learn better how the practice of anesthesiology in India might benefit through closer collaboration and the sharing of basic ideas between our health systems. My current position is my first residency position in India for two years, and it will soon be drawing to a close, and I hope very much to begin next practicing in the USA.

 A large part of the patients that I have seen over the last two years have been obstetric cases, some in severe shock; one patient stands out for the severity of her postpartum hemorrhaging posted for emergency hysterectomy with low hemoglobin, barely breathing. We saved her life through induction with ketamine, choline intubation maintained with vecuronium, oxygen, and nitrous oxide. India has its share of violence to which I have unfortunately grown accustomed, and our emergency care duties increase at night. I have spent countless nights dealing with patients with blunt injury wounds to the abdomen, perforations, and strangulation cases, all in addition to the more common emergency caesarian cases, placenta previa, abruption placenta, fetal distress, extra Dural hematoma, and neurosurgery cases.

 It would be a profound honor for me to be granted an interview with your program so that I might be able to explain in greater detail the way in which my extensive experience could help me to serve as a most valuable asset to your program.

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